Union Square Psychotherapy, LCSW, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

086846 Issued in NY

Legal business name

UNION SQUARE PSYCHOTHERAPY, LCSW, PLLC

Practice address

44 E 12TH St # MD-8
New York, NY 10003-4632

Phone

(917) 885-7892

NPI assigned

Aug 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Josh Wolf-Powers, MBA, LCSWNPI 1184094724

Title

Owner/Member

Phone

(917) 885-7892

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josh Wolf-Powers, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1184094724
  NPD Authorized official
• Bryan Batista-Thomas, LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1568971000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1750862967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E 12TH ST # MD-8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034632",
            "telephone_number": "917-885-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E 12TH ST # MD-8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034632",
            "telephone_number": "917-885-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE PSYCHOTHERAPY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "WOLF-POWERS",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "917-885-7892",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "086846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Square Laser Dermatology
• Union Square Medical Imaging and Mammography PC
• Union Square Medical Practice PC
• Union Square Optical, Inc
• Union Square Physical Therapy & Chiroprctic
• Union Square Radiology P.C.
• Union Square Rehabilitation and Sports Medicine
• Union Square Smiles
• Union Square Surgical PC
• Union Square Therapy Group LLC

• Adult Mental Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.